低收入、代表性不足的少数族裔及其他弱势儿科人群的哮喘管理：缩小差距
Managing Asthma in Low-Income, Underrepresented Minority, and Other Disadvantaged Pediatric Populations: Closing the Gap.
作者信息
Louisias Margee, Phipatanakul Wanda
机构信息
Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, USA.
Division of Allergy and Immunology, Boston Children's Hospital, Boston, MA, USA.
出版信息
Curr Allergy Asthma Rep. 2017 Sep 15;17(10):68. doi: 10.1007/s11882-017-0734-x.
Abstract
PURPOSE OF REVIEW
In this article, we review current understanding of the epidemiology and etiology of disparities in asthma. We also highlight current and emerging literature on solutions to tackle disparities while underscoring gaps and pressing future directions.
RECENT FINDINGS
Tailored, multicomponent approaches including the home, school, and clinician-based interventions show great promise. Managing asthma in disadvantaged populations can be challenging as they tend to have disproportionately worse outcomes due to a multitude of factors. However, multifaceted, innovative interventions that are sustainable and scalable are key to improving outcomes.
摘要
综述目的
在本文中，我们回顾了目前对哮喘差异的流行病学和病因学的理解。我们还重点介绍了当前和新出现的关于解决差异的文献，同时强调了差距和紧迫的未来方向。
最新发现
包括家庭、学校和基于临床医生的干预措施在内的量身定制的多组分方法显示出巨大的前景。在弱势群体中管理哮喘可能具有挑战性，因为由于多种因素，他们往往会有不成比例的更差结果。然而，可持续且可扩展的多方面创新干预措施是改善结果的关键。
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本文引用的文献
1
The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned.
Contemp Clin Trials. 2017 Sep;60:14-23. doi: 10.1016/j.cct.2017.06.008. Epub 2017 Jun 12.
2
Income is an independent risk factor for worse asthma outcomes.
J Allergy Clin Immunol. 2018 Feb;141(2):754-760.e3. doi: 10.1016/j.jaci.2017.04.036. Epub 2017 May 20.
3
NIAID, NIEHS, NHLBI, and MCAN Workshop Report: The indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management.
J Allergy Clin Immunol. 2017 Oct;140(4):933-949. doi: 10.1016/j.jaci.2017.04.024. Epub 2017 May 10.
4
Caregiver stress among inner-city school children with asthma.
J Allergy Clin Immunol Pract. 2017 Jul-Aug;5(4):1132-1134.e3. doi: 10.1016/j.jaip.2017.02.026. Epub 2017 Apr 19.
5
Urban residence, neighborhood poverty, race/ethnicity, and asthma morbidity among children on Medicaid.
J Allergy Clin Immunol. 2017 Sep;140(3):822-827. doi: 10.1016/j.jaci.2017.01.036. Epub 2017 Mar 8.
6
Effect of an Integrated Pest Management Intervention on Asthma Symptoms Among Mouse-Sensitized Children and Adolescents With Asthma: A Randomized Clinical Trial.
JAMA. 2017 Mar 14;317(10):1027-1036. doi: 10.1001/jama.2016.21048.
7
Building school health partnerships to improve pediatric asthma care: the School-based Asthma Management Program.
Curr Opin Allergy Clin Immunol. 2017 Apr;17(2):160-166. doi: 10.1097/ACI.0000000000000347.
8
A single intervention for cockroach control reduces cockroach exposure and asthma morbidity in children.
J Allergy Clin Immunol. 2017 Aug;140(2):565-570. doi: 10.1016/j.jaci.2016.10.019. Epub 2017 Jan 17.
9
Patient-centered outcomes research to improve asthma outcomes.
J Allergy Clin Immunol. 2016 Dec;138(6):1503-1510. doi: 10.1016/j.jaci.2016.10.003.
10
Perceived Discrimination Associated With Asthma and Related Outcomes in Minority Youth: The GALA II and SAGE II Studies.
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